| NPI | 1023488202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSANTHUS MICHAEL ACOSTA Director Of Pharmacy 239-368-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: FL PS21218) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |